10.0 - 20.0 years

15 - 30 Lacs

pune, chennai, coimbatore

Hybrid

Job Description: Extracting, analyzing, and reporting on complex healthcare datasets using SQL Strong understanding of Cerner EHR, Athenahealth EHR, or Epic System database structures Knowledge of clinical operations and workflows Analyzing medical data, patient records, and billing information

Posted 2 weeks ago

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Occupational Health Coordinator 5-Tek Medical

2.0 - 6.0 years

0 Lacs

punjab

On-site

As an Occupational Health Coordinator at 5tekmedical in Mohali, you will be a vital member of the Revenue Cycle Management team. Your role involves managing corporate and patient billing processes, ensuring accurate coding, and maintaining effective communication with companies, patients, and insurance providers. Key Responsibilities: - Perform accurate coding for corporate accounts and post corporate checks. - Manage corporate accounts receivable and address any billing issues or discrepancies. - Respond to company inquiries regarding billing and account statements. - Post patient checks, handle NSF check returns, and initiate patient billing for returned checks. - Address patient billing i...

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SME Denial Management Zapare Technologies Pvt Ltd

2.0 - 6.0 years

0 Lacs

thrissur, kerala

On-site

As an SME in Denial Management with 2-3 years of experience, you will be a part of Zapare Technologies Pvt. Ltd., a leading provider of Revenue Cycle Management (RCM) solutions for the US Healthcare industry. Your role will involve analyzing, managing, and resolving denied insurance claims to enhance collections and optimize revenue cycles for clients. Your main responsibilities will include developing and maintaining denial logs to identify trends, working with denial reason codes to take appropriate actions, and ensuring compliance with HIPAA, CMS guidelines, and coding standards. You will also manage the appeals process by understanding appeal processes and SOPs, preparing and submitting ...

Posted 3 months ago

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SME - Denial Management Zapare Technologies

2.0 - 3.0 years

4 - 5 Lacs

Kochi, Ernakulam, Thrissur

Work from Office

Designation: SME - Denial Management Experience: 2-3 years Skills desired: Detailed knowledge of US healthcare billing cycle Experience working with different EMR/EHR systems like Epic, Cerner, Allscripts, Athenahealth, NextGen, eClinicalWorks, Meditech, etc. Denial analysis and management - Review and analyze denied insurance claims to identify cause of denials such as coding issues, preauthorization, payer-specific policies - Develop and track denial log to monitor patterns and trends in denied claims - Experience talking with payers to obtain clarification with denials and initiate timely appeals when appropriate Expertise in working with denial reason codes (CARC, RARC) and identifying r...

Posted 3 months ago

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